MRS. NICOLE J DEVERTEUIL-WAGGONER (PT) – Physical Therapist, NPI 1992798607

MRS. NICOLE J DEVERTEUIL-WAGGONER (PT) is a healthcare provider. based in Tamarac, Florida. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. PT18177 (FL). The NPI Number for MRS. NICOLE J DEVERTEUIL-WAGGONER (PT) is 1992798607

Main info

Female
Name
MRS. NICOLE J DEVERTEUIL-WAGGONER (PT)
NPI
1992798607
Phone
(954) 258-0415
Address
8100 NW 101ST AVE
Enumeration Date
27 August 2005
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MRS. NICOLE J DEVERTEUIL-WAGGONER (PT)

  • 8100, Northwest 101st Avenue, Tamarac, Broward County, Florida, 33321, United States

    TAMARAC, FL 333211235

    Phone: (954) 258-0415

    Fax: (954) 718-6046

    Type: Mailing

  • 12341, Northwest 18th Street, Plantation Acres, Plantation, Broward County, Florida, 33323, United States

    PLANTATION, FL 333232122

    Phone: (954) 478-4648

    Fax: (954) 530-5694

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33321)

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Reviews

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Frequently asked questions

What unique ID ties claims to MRS. NICOLE J DEVERTEUIL-WAGGONER (PT)?
NPI 1992798607 is assigned to MRS. NICOLE J DEVERTEUIL-WAGGONER (PT) under the national enumeration system.
Is MRS. NICOLE J DEVERTEUIL-WAGGONER (PT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MRS. NICOLE J DEVERTEUIL-WAGGONER (PT) work in?
You can think of MRS. NICOLE J DEVERTEUIL-WAGGONER (PT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Does MRS. NICOLE J DEVERTEUIL-WAGGONER (PT) practice in Florida?
You will see Tamarac, Florida on file for MRS. NICOLE J DEVERTEUIL-WAGGONER (PT) alongside any extra practice locations.
Is MRS. NICOLE J DEVERTEUIL-WAGGONER (PT) a real provider?
This page reflects official NPPES data for NPI 1992798607. Always confirm identity and privileges with the practice and licensing boards.

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